US10857367B2 - Feedthrough of an implantable medical electronic device - Google Patents
Feedthrough of an implantable medical electronic device Download PDFInfo
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- US10857367B2 US10857367B2 US15/824,473 US201715824473A US10857367B2 US 10857367 B2 US10857367 B2 US 10857367B2 US 201715824473 A US201715824473 A US 201715824473A US 10857367 B2 US10857367 B2 US 10857367B2
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- housing
- connection element
- insulator
- feedthrough
- soft
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3752—Details of casing-lead connections
- A61N1/3754—Feedthroughs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0526—Head electrodes
- A61N1/0541—Cochlear electrodes
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01B—CABLES; CONDUCTORS; INSULATORS; SELECTION OF MATERIALS FOR THEIR CONDUCTIVE, INSULATING OR DIELECTRIC PROPERTIES
- H01B17/00—Insulators or insulating bodies characterised by their form
- H01B17/26—Lead-in insulators; Lead-through insulators
- H01B17/30—Sealing
- H01B17/303—Sealing of leads to lead-through insulators
Definitions
- the invention relates to a feedthrough of an implantable medical electronic device.
- feedthroughs are especially suitable for electromedical implants, such as implantable cardiac pacemakers, defibrillators, cardioverters, nerve and brain stimulators, hearing aids, implantable drug pumps, or other electrically active implants that contain a hermetically sealed housing, and batteries with a hermetically sealed housing for these electronic implants. Furthermore, the invention relates to an implantable medical electronic device with such a feedthrough.
- IMDs implantable electromedical devices
- IMDs implantable electromedical devices
- many devices can selectively measure electrical pulses and stimuli in the body of the patient and record or assess them over a longer period of time to select an individually adapted therapy and to check the success of the treatment in vivo.
- the device has, inside the housing, electronic/electrical functional units for producing and measuring the pulses and for suitable control of the production of pulses, and the device has, on the outside, electrodes directly on it or connections for at least one electrode lead, the distal end section of these connections containing the electrodes for transferring pulses to the tissue.
- the electronic/electrical functional units inside the device are to be connected with the outside electrodes or electrode lead connections in a way that ensures absolutely and permanently reliable function under the special conditions of the implanted state.
- the task of a feedthrough is to carry the electrical signals through the hermetically sealed housing and in this way to allow the electronics in the hermetically sealed housing to make electrical contact with the electrodes in the body of the patient.
- the feedthrough has an interface on the body side and an interface on the electronics side for connecting the electrical signals. In many such feedthroughs, this is done using connection pins that make contact with the printed circuit board or with a similar conductor support located inside the device, and carry the signals through the housing, ending in a header especially in many IMDs.
- the feedthroughs of the electromedical devices have a flange with which they are inserted in a housing wall of the electromedical implant, preferably through a thermal joining process such as welding, hard soldering (brazing), or soft soldering.
- the housing contains an electronic apparatus, normally with a circuit board, among other things, that is able to process or send electrical signals.
- the feedthrough typically has at least one feedthrough sleeve and a flange surrounding the at least one feedthrough sleeve, which has at least one connection pin sitting in it that is surrounded by the feedthrough sleeve.
- the connection pin extends through the flange and the feedthrough sleeve from an inner end inside the housing to an outer end, which lies outside the hermetically sealed housing.
- connection pin is connected with the feedthrough sleeve and/or the feedthrough sleeve is connected with the flange by a solder connection, preferably using a gold solder if the feedthrough sleeve has metal coating (for example a niobium coating), or using a biocompatible solder glass (type 8625 of the Schott company) if uncoated feedthrough sleeves are used.
- a solder connection preferably using a gold solder if the feedthrough sleeve has metal coating (for example a niobium coating), or using a biocompatible solder glass (type 8625 of the Schott company) if uncoated feedthrough sleeves are used.
- connection pins are, as a rule, made of a biocompatible material, such as, for example, niobium (Nb), platinum (Pt), iridium (Ir), platinum/iridium alloys (Pt/Ir), tantalum (Ta), titanium (Ti), zirconium (Zr), hafnium (Hf), medical stainless steel (e.g., 316L) or alloys made of these materials.
- a biocompatible material such as, for example, niobium (Nb), platinum (Pt), iridium (Ir), platinum/iridium alloys (Pt/Ir), tantalum (Ta), titanium (Ti), zirconium (Zr), hafnium (Hf), medical stainless steel (e.g., 316L) or alloys made of these materials.
- connection pin Materials that are also possible for the connection pin are Fe—Ni, FeNiCo, FeCr, molybdenum (Mo), tungsten (W), chromium (Cr), FeCr, vanadium (V), aluminum (Al), or other alloys of these materials.
- U.S. Pat. No. 7,747,321 B2 discloses a cardiac pacemaker 1 , as shown in FIG. 1 , with a pacemaker housing 3 and a header 5 , which has a printed circuit board (PCB) 7 arranged inside it, along with other electronic components, and whose lead connector (not shown) arranged in the header is connected with an electrode lead 9 .
- a feedthrough 11 provided between the device housing 3 and the header 5 contains multiple connection pins 13 .
- the connection pins are inserted through corresponding holes in the printed circuit board and soft-soldered with it.
- They comprise a wire core, made, for instance, of tantalum, niobium, titanium, molybdenum, copper, and an oxidation resistant sheath made of a biocompatible material, for instance gold, platinum, titanium, or something similar.
- connection pins are typically connected with the conductor support arranged in the housing by welding, bonding, crimping, soft soldering, or cementing.
- soft soldering reflow soldering
- the materials usually used for the connection pins are poorly suited for this connection process, so that various strategies have been developed for further processing of the feedthrough to connect it to the conductor support using a sufficiently controllable process with justifiable costs.
- Corresponding approaches are disclosed in published, European patent application EP 2 371 418 A1 (corresponding to U.S. Pat. No. 8,536,468) or U.S. patent publication No. 2016/0001387 A1 of the applicant, or also in published, European patent application EP 2 529 790 A1 (corresponding to U.S. Pat. Nos. 9,065,224 and 9,692,173), among other places.
- connection pins are typically connected with the electrodes or the plugs for the electrodes in the header by welding.
- Other joining processes such as, e.g., soft soldering, hard soldering, bonding, cementing, and crimping are also possible, however are rarely used in practice.
- the invention has the goal of indicating a hermetically sealed feedthrough for implants, this feedthrough being made of a biocompatible material toward the outside of the implant and being connectable by a simple production technique to make contact with the electronics arranged at its inside end, especially by means of reflow soldering.
- the invention includes the idea of fundamentally departing from the previous approach that involves precautions and testing measures for the connection pins protruding from the feedthroughs, and instead eliminating the potential error source from the start. Accordingly, the or every primary connection element has at least one end that is essentially level with the surface of the insulator or recessed into the insulator with respect to this surface. This completely eliminates the susceptibility of the known feedthroughs to deformations and damage of the ends of the connection pins, and makes it possible to eliminate elaborate precautions and test procedures.
- the corresponding passage has a widening, which serves as a material reservoir.
- the material reservoir is at least partly filled with suitable materials or material combinations or layers, and facilitates the precise feed of material for the respective process steps.
- the widening is cylindrical, frustum-shaped, or bowl-shaped. In principle other shapes of the widening are also possible, however, the ones mentioned here are the most expedient from the current technological perspective.
- the widening of the passage is partly filled with a hard solder, which simultaneously surrounds the connection element in the passage, and the surface of the hard solder and optionally of the housing-side end face of the connection element has a soft solder or sintered material on it.
- the widening has a first, non-soft solderable sintered material and a second soft solderable sintered material in it along with the hard solder.
- the widening has a first, higher melting hard solder in it, and a second, lower melting hard solder on its surface.
- the housing-side end of the connection element or every connection element is recessed into the housing-side surface of the insulator, and covered with a hard solder or sintered material or soft solder layer.
- This cover is configured so that the covering material layer has a surface that is even with the housing-side surface of the insulator or bulges out of the housing-side surface of the insulator.
- the maximum height of a patelliform or meniscus-shaped covering material layer with respect to the housing-side surface of the insulator is in the range between 0.01 and 1 mm, depending on the size of the feedthrough.
- the secondary connection element is electrically conductively joined with the primary connection element and the secondary connection element has at least one soft solderable point of contact.
- the secondary connection element or every secondary connection element is connected with the corresponding primary connection element through a soft solder, a low-melting hard solder, or a sintered material, or it consists of a soft solder, a low-melting hard solder, or a sintered material.
- the secondary connection element or at least one secondary connection element, is spherical, elliptical, or polyhedral. It is also possible for the various geometric configurations of individual secondary contact elements in one and the same feedthrough to be different, in order to take optimal account of, for instance, special conductor configurations on the conductor support to be connected to the feedthrough.
- At least one surface of the secondary connection element, or of every secondary connection element protruding out of the housing-side surface of the insulator be coated with a material improving the soft-solderability or sinterability, in particular Cu, Ni, Ag, Sn, Au, Pt, Ir, Pd, or alloys of at least two of these or a layer system improving the soft-solderability, such as, EPIG, ENEPIG, HAL, or something of that kind.
- a material improving the soft-solderability or sinterability in particular Cu, Ni, Ag, Sn, Au, Pt, Ir, Pd, or alloys of at least two of these or a layer system improving the soft-solderability, such as, EPIG, ENEPIG, HAL, or something of that kind.
- FIG. 1 is a schematic representation of a conventional cardiac pacemaker
- FIG. 2 is a diagrammatic, longitudinal sectional representation of a sample embodiment of a feedthrough according to the invention
- FIG. 3 is a longitudinal sectional representation of another embodiment of the inventive feedthrough.
- FIG. 4 is a longitudinal sectional representation of another embodiment of the inventive feedthrough.
- FIG. 5 is a schematic cross sectional representation of another inventive feedthrough.
- FIGS. 2-5 there is shown a feedthrough being uniformly designated with number 11 as in FIG. 1 , independent of the differing geometric shapes and arrangements of their parts and details, and the designation of the individual sections or the respective coating is correspondingly selected.
- FIG. 2 shows a feedthrough 11 with an insulator 12 made of insulating ceramics, the insulator 11 being surrounded by a feedthrough flange 10 and being inserted with multiple connection pins 13 .
- the connections between the connection pins 13 and the walls of the insulator's passages or holes 14 holding them, and the connections between the outer periphery of the insulator 12 and the inner periphery of the feedthrough flange 10 are each formed by a hard solder element 15 or 16 .
- the basically cylindrical holes 14 in the insulator 12 are provided with conical widening sections 14 a on a first surface 12 a of the insulator, this surface being the housing-side surface in the state in which it is used.
- the connection pins 13 are recessed with respect to the housing-side surface 12 a of the insulator 12 , while the opposite ends 13 b of the connection pins project out of the opposite (header-side) surface 12 b of the insulator.
- the recessed housing-side ends 13 a of the connection pins 13 have a plug 17 made of soft solderable solder material or sintered material applied above them, the plug filling the conical widening section 14 a of each associated hole above a hard solder 15 .
- the plug 17 extends to a depth of t from the housing-side surface 12 a into the hole 14 , and bulges up out of the surface 12 a in the shape of a cupola with a maximum height of h. It serves as a contact area for later soldering of the feedthrough with a printed circuit board or a similar element of the electronics in the device housing of an IMD, this printed circuit board or similar element of the electronics being arranged on the housing side.
- FIG. 3 schematically shows another smaller feedthrough 11 , but can also be understood as a representation of a section of a larger feedthrough that contains more than the two connection pins 13 shown in FIG. 3 .
- a feedthrough flange is not shown here, but can be present.
- the configuration of the hole 14 holding the connection pins and the positioning of the connection pins 13 is similar to that in the feedthrough according to FIG. 2 , with the now described differences.
- the shape of the widening sections 14 a on the housing-side surface 12 a of the insulator 12 is not conical here, but rather the widening sections comprise a lower conical section and an upper cylindrical section. Furthermore, in these widening sections and on the housing-side end face 13 a of the connection pins 13 there is a two-part material plug 17 that contains a lower layer 17 . 1 that lies on the connection pin end face 13 a and that is made of a non-soft solderable solder or sintered material, and a layer 17 . 2 on it that covers the lower layer and that is made of a soft solderable solder or sintered material.
- the (second) hard solder or sintered material which has a lower melting point than the hard solder of the hard solder elements 15 , into the widening section in the layer 17 . 1 makes it possible to compensate for differences in the level of the holes 14 that can result from the process in the individual process steps of manufacturing the feedthrough, and this compensation for differences in the level of the holes 14 in turn makes it possible to avoid undesired deviations in the electrical properties of the feedthrough in the individual areas of the connection.
- the material is connected by hard soldering or sintering to the hard solder elements 15 in the annular gap between inner wall of the hole 14 and the outer wall of the connection pin 13 .
- FIG. 4 shows another variation of the feedthrough 11 with a structure that is once again similar to that of the feedthroughs according to FIGS. 2 and 3 .
- the widening sections 14 a of the openings or holes 14 holding the connection pins 13 are in the form of stepped cylindrical widenings, and part of the widening is filled with remaining material of the hard solder elements 15 and another part (in the upper area) is filled with a soft solder plug 17 .
- FIG. 5 shows a schematic cross sectional representation of another feedthrough 11 associated with a printed circuit board 7 , on which it is mounted.
- the basic structure of the feedthrough 11 once again corresponds to the embodiments according to FIGS. 2 through 4 , including the widening sections 14 a of the holes 14 for the connection pins 13 .
- the widening sections 14 a have not only a first non-soft solderable solder or sintered material 17 . 1 and a second soft solderable solder or sintered material 17 . 2 put into them, but rather a metal ball 18 is additionally provided as a secondary connection element, along with the connection pin 13 , which in this context should be designated as the primary connection element.
- This structure makes it especially simple to connect the feedthrough with corresponding conductor tracks on the printed circuit board 7 using the technique of reflow soldering.
- the holes 14 are filled with the lower-melting hard solder, soft solder, or a sintered paste 17 . 1 . Filling a pasty compensating mass into the holes compensates for differences in level due to the different melting behavior of the hard solder in the ceramic.
- the polyhedral, oval, or round secondary connection element 18 is set onto the pasty, low-melting hard solder, soft solder, or sintered paste 17 . 1 .
- These elements 18 consist, e.g., of easily available materials (e.g., tungsten carbide, 1.4125).
- the surface of the element 18 is finished by the galvanic process, giving it very good soft solderability or sinterability. This can be achieved by coating it with Ni and Ag or Ni and Sn.
- surface coating systems known from the literature e.g., EPIG, ENEPIG, HAL), which achieve permanent solderability.
- connection elements Joining the connection elements creates a soft solderable and surface-mountable electrical feedthrough for medical purposes.
- the simple assembly allows both manual and automated manufacturing to be very economical.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Otolaryngology (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Electrotherapy Devices (AREA)
Abstract
Description
Claims (19)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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EP16203193 | 2016-12-09 | ||
EP16203193.4 | 2016-12-09 | ||
EP16203193.4A EP3332836B1 (en) | 2016-12-09 | 2016-12-09 | Feedthrough of an implantable medical electronic device |
Publications (2)
Publication Number | Publication Date |
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US20180161582A1 US20180161582A1 (en) | 2018-06-14 |
US10857367B2 true US10857367B2 (en) | 2020-12-08 |
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US15/824,473 Active 2038-10-19 US10857367B2 (en) | 2016-12-09 | 2017-11-28 | Feedthrough of an implantable medical electronic device |
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EP (1) | EP3332836B1 (en) |
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FR3102062A1 (en) * | 2019-10-22 | 2021-04-23 | Collin | Otological surgery robotic instrument and installation for capturing and maintaining a cochlear implant electrode holder |
EP3939730A1 (en) * | 2020-07-14 | 2022-01-19 | BIOTRONIK SE & Co. KG | Method of joining a first and a second components of a lead-through using a reactive multilayer system |
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US20070239222A1 (en) | 2006-03-30 | 2007-10-11 | Sprain Jason W | Feedthrough connector for implantable device |
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US20110203841A1 (en) * | 2008-06-20 | 2011-08-25 | Oliver Gradtke | Contact pin for an electronic circuit |
EP2371418A2 (en) | 2010-03-29 | 2011-10-05 | BIOTRONIK SE & Co. KG | Electrical feedthrough, in particular for medical implants |
EP2529790A1 (en) | 2011-06-03 | 2012-12-05 | Greatbatch Ltd. | Feedthrough wire connector for use in a medical device |
US20130338750A1 (en) * | 2012-06-13 | 2013-12-19 | Biotronik Se & Co. Kg | Connecting device |
US20140262493A1 (en) | 2013-03-14 | 2014-09-18 | Heraeus Precious Metals Gmbh & Co. Kg | Laser welding a feedthrough |
US20140272457A1 (en) | 2011-09-30 | 2014-09-18 | Kyocera Corporation | Metal-ceramic joined body |
US20160001387A1 (en) | 2014-07-07 | 2016-01-07 | Biotronik Se & Co. Kg | Method For Producing A Pin For A Feedthrough Of An Electromedical Implant And A Feedthrough |
US9692173B2 (en) | 2011-06-03 | 2017-06-27 | Greatbatch Ltd. | Feedthrough wire connector for use in a medical device |
US20170294250A1 (en) * | 2016-04-12 | 2017-10-12 | Cardiac Pacemakers, Inc. | Ferrule having improved gold reservoir geometry for implantable medical device |
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2016
- 2016-12-09 EP EP16203193.4A patent/EP3332836B1/en active Active
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2017
- 2017-11-28 US US15/824,473 patent/US10857367B2/en active Active
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US7747321B2 (en) | 2005-06-09 | 2010-06-29 | Cardiac Pacemakers, Inc. | Implantable medical device feedthrough assembly having a coated conductor |
US20070179553A1 (en) * | 2006-01-30 | 2007-08-02 | Iyer Rajesh V | Implantable medical device feedthrough assembly including flange plate |
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US20110203841A1 (en) * | 2008-06-20 | 2011-08-25 | Oliver Gradtke | Contact pin for an electronic circuit |
US8536468B2 (en) | 2010-03-29 | 2013-09-17 | Biotronik Se & Co. Kg | Electrical feedthrough, in particular for medical implants |
EP2371418A2 (en) | 2010-03-29 | 2011-10-05 | BIOTRONIK SE & Co. KG | Electrical feedthrough, in particular for medical implants |
EP2529790A1 (en) | 2011-06-03 | 2012-12-05 | Greatbatch Ltd. | Feedthrough wire connector for use in a medical device |
US9065224B2 (en) | 2011-06-03 | 2015-06-23 | Greatbatch Ltd. | Feedthrough wire connector for use in a medical device |
US9692173B2 (en) | 2011-06-03 | 2017-06-27 | Greatbatch Ltd. | Feedthrough wire connector for use in a medical device |
US20140272457A1 (en) | 2011-09-30 | 2014-09-18 | Kyocera Corporation | Metal-ceramic joined body |
US20130338750A1 (en) * | 2012-06-13 | 2013-12-19 | Biotronik Se & Co. Kg | Connecting device |
US20140262493A1 (en) | 2013-03-14 | 2014-09-18 | Heraeus Precious Metals Gmbh & Co. Kg | Laser welding a feedthrough |
US20160001387A1 (en) | 2014-07-07 | 2016-01-07 | Biotronik Se & Co. Kg | Method For Producing A Pin For A Feedthrough Of An Electromedical Implant And A Feedthrough |
US20170294250A1 (en) * | 2016-04-12 | 2017-10-12 | Cardiac Pacemakers, Inc. | Ferrule having improved gold reservoir geometry for implantable medical device |
Also Published As
Publication number | Publication date |
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EP3332836A1 (en) | 2018-06-13 |
US20180161582A1 (en) | 2018-06-14 |
EP3332836B1 (en) | 2019-07-03 |
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